Retraction: Acute Omental Infarction Mimicking Acute Appendicitis.

[This retracts the article DOI: 10.7759/cureus.18053.].

Retraction: Urachal Abscess: A Rare Etiology of Acute Abdominal Pain in Adults.

[This retracts the article DOI: 10.7759/cureus.18193.].

Retraction: Saddle Aortic Embolism Following Recovery From Severe COVID-19 Pneumonia.

[This retracts the article DOI: 10.7759/cureus.18074.].

Arabic Validity of the (CARE) Measure for Improving Medical and Mental Health Services.

Results: The majority of the item's responses showed high level of satisfaction. The coronach alpha of our study that examines the Arabic version of the CARE measurement tool 10 items was 0.96 showing an excellent internal consistency. The Kaiser-Meyer-Olkin measure was 0.96 indicating the adequacy of the data for factor analysis and the Bartlett test of sphericity shows (x2(45) = 8743.126, p < 0.001) indicating the adequacy of the correlation matrix for analysis. Conclusion: The Arabic version of CARE Measure seems to be consistent and reliable in the primary health care setting.

Acute Omental Infarction Mimicking Acute Appendicitis.

Acute abdominal pain is a common cause of visits to the emergency department. Acute appendicitis remains the most common indication for abdominal surgical intervention in the pediatric age group. However, several conditions may present with a clinical picture similar to that of acute appendicitis. We report the case of a 7-year-old girl with a history of right lower quadrant abdominal pain of two days in duration. The pain was associated with vomiting and was exacerbated by movement. Abdominal examination revealed a localized tenderness in the right iliac fossa with guarding, giving the impression of acute appendicitis. After a thorough investigation, the patient was diagnosed as having acute omental infarction given the radiological findings seen in the computed tomography scan. The patient was successfully managed conservatively with analgesics and anti-inflammatory drugs. Physicians should keep a high index of suspicion for this condition when encountering a patient presenting with an acute right lower quadrant abdominal pain. Imaging modalities play a pivotal role in making the diagnosis.

Saddle Aortic Embolism Following Recovery From Severe COVID-19 Pneumonia.

Coronavirus disease 2019 (COVID-19) is a multi-organ disease with a wide range of manifestations. Coagulopathy is one of the well-recognized complications of COVID-19. We report the case of a 42-year-old man who presented with progressively worsening low back pain of two days in duration. The pain was burning in character, non-radiating, and was not related to movement. The patient had a recent history of severe COVID-19 pneumonia requiring mechanical ventilation and has stayed in the intensive care unit for eight days. He was discharged three days before the acute onset of his back pain. Examination of the lumbar spine was unremarkable. However, lower limb examination revealed coldness and absent pulses bilaterally. The patient underwent computed tomography angiography which revealed complete occlusion of the lower abdominal aorta at its bifurcation. Emergency endovascular treatment was performed to aspirate the clot. The symptoms resolved following the procedure and the patient was discharged on the third post-intervention day. Saddle aortic embolism is a rare life-threatening condition that may present solely with low back pain. The case demonstrated a possible complication of COVID-19 that occurred after the recovery from the acute phase of the disease.

Urachal Abscess: A Rare Etiology of Acute Abdominal Pain in Adults.

Abdominal pain is a common cause of emergency department visits. It often poses a diagnostic challenge for physicians given the broad spectrum of its possible medical and surgical etiologies. We report the case of a 32-year-old man who presented to the emergency department with a complaint of lower abdominal pain for one week. Abdominal examination revealed suprapubic mass and tenderness. Laboratory investigation revealed elevated leukocyte count and inflammatory markers. An abdominal ultrasound examination showed a collection with poorly defined borders. Additionally, CT demonstrated a soft tissue mass adjacent to the anterior abdominal wall with an upward track to the umbilicus, conferring the diagnosis of a urachal abscess. The patient underwent successful management of the abscess with surgical excision. This case highlights the importance for clinicians to be aware of congenital urachal anomalies since early recognition of the urachal cyst is essential to determine the proper surgical management.

Cardiac arrest and stroke due to unsupervised use of herbal preparation.

Despite the widespread use of herbal preparations and ongoing studies on their therapeutic potential, there are no safety standards on their usage. We report a case of a 36-year-old male patient who presented with severe muscle weakness and generalized fatigue. He had no significant medical history. Initial laboratory investigations revealed hypokalemia, hypomagnesemia, and hypophosphatemia. His condition suddenly deteriorated, and he went into cardiac arrest. He was resuscitated in accordance with advanced life support guidelines. On recovery, he had left-sided weakness and dysarthria. He underwent head computed tomography, which revealed an acute infarct in the right middle cerebral artery territory. We determined that he had developed electrolyte deficiency as a result of a recent intake of a mixture of herbs consisting of khella, barley, and frankincense for kidney stones.